DR. KEVIN JOHNSON
NPI 1912463704
Chiropractor in Fullerton, CA
About Dr. Kevin Johnson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KEVIN JOHNSON (NPI 1912463704) is an individual chiropractor in Fullerton, California, licensed in California (34198) and active in the NPI registry since February 2019.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Kevin Johnson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kevin Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
La Habra, CA 90631
- Reassigned Medicare billing, California enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kevin Johnson's NPI number?
The NPI number for Kevin Johnson is 1912463704. It was assigned to this individual provider in the NPPES registry on February 16, 2019.
Where is Kevin Johnson located?
Kevin Johnson practices at 2601 E Chapman Ave Ste 214, Fullerton, CA 92831. The listed phone number is (714) 872-3040.
What is Kevin Johnson's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Kevin Johnson enrolled in Medicare?
Yes. Kevin Johnson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kevin Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Johnson reassigns Medicare benefits to 100 Chiropractic Panchal Johnson Apc (La Habra, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kevin Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kevin Johnson was last updated on February 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Kevin Johnson · NPI 1912463704
Chiropractor provider in Fullerton, California. Individual provider, active in the CMS NPPES registry since February 16, 2019.
## Identity
- **NPI:** 1912463704 (Entity type: Individual)
- **Enumerated:** February 16, 2019
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 34198 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2601 E CHAPMAN AVE STE 214, Fullerton, CA 92831-3737
- **Phone:** (714) 872-3040
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** 100 Chiropractic Panchal Johnson Apc (NPI 1124812904, La Habra, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 16, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1912463704) · Data from the CMS NPPES public registry.